Individual
MR. MONTE W. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3950 17TH ST, STE A, BAKER CITY, OR 97814-1300
(541) 523-1001
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA156495
OR
Other
Enumeration date
11/05/2009
Last updated
12/29/2012
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